1. The Importance of Early Return to Work “…medical care costs correlate not with the severity of diagnosis, as might be predicted, but the length of time workers remain out on disability.” Disability Management Akabas, Galvin and Gates The American Management Association

2. Question….. Which type of injury may be the most costly to an employer?  A severe traumatic injury to an employee involving multiple fractures; or,  A mild injury to an employee diagnosed as a low back sprain/strain.

3. Direct Cost Indirect Cost vs. Indirect Cost Of Lost Time is Four Times the Direct Cost

4. Benefits Of Early Return-to-Work (RTW) Programs  Reduces costs  Reinforces management’s commitment to employee welfare  Maintains quality/production  Enhances ADA compliance  Increases safety and prevents future injuries (i.e. ergonomic improvements)

5. Benefits to the Injured Worker (IW)  Recovers more quickly  Experiences a smoother transition back to regular duty  Receives a full, regular paycheck  Jobs skills stay current  Maintains work relationships  Problems related to inactivity decrease

6. Overview of Programs  Remain at Work Services  Transitional Work  Vocational Rehabilitation

7. Goals of Remain-at-Work (RAW) Services to help the worker stay on the job thus preventing a lost time claim.

8. Eligibility for RAW Services  IW has a medical only claim and is experiencing difficulty at work due to the allowed condition.  The employer and physician have documented the job task problems.

9. How do you refer for RAW services?  Contact your Managed Care Organization (MCO)

10. What is Transitional Work?  Work-site program for workers with physical restrictions  Progresses the worker to a specific job  Time limited and individualized

11. Transitional Work Program  May include progressive conditioning, on-site work activities, and education for safe work practices.  May include job modification or alternative work assignments.

12. Light Duty  Light duty is opened ended  No therapeutic goals defined  Transitional work has a starting and ending date  Offers work hardening or other therapeutic benefits Transitional Work

13.  Responsibilities of employer or employee are not outlined  No alternative plan if light duty fails  Responsibilities are clearly defined in writing  Alternative plan will be developed Light Duty Transitional Work

14. Philosophy needed  Buy-in by top management  Labor/employee involvement  Commitment for openness  Confidentiality  Policy that is logical and fair

15. Vocational Rehabilitation: Eligibility and Feasibility  Eligibility: Ohio Administrative Code 4123-18-03  Feasibility – Reasonable probability for RTW

16. Vocational Rehabilitation Programs  Anyone can refer an IW to vocational rehabilitation  Contact the MCO or the assigned BWC Customer Care Team in the service office

17. The Return to Work Hierarchy (OAC 4123-18-05) Injured workers return to work as follows:  Same job, same employer  Different job, same employer  Same job, different employer  Different job, different employer  Skill enhancement, short-term training may help at any step in return to work.

18. Programs of Special Interest to Employers  Employer Incentive Contract  Gradual Return to Work (GRTW)  Job Modifications/Tools and equipment  On-the-job training (OJT)  Work Trial

19. Questions about RAW, Transitional Work and Vocational Rehabilitation programs?